15D2045811 CLIA NUMBER - MUNSTER SPECIALTY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 15D2045811
  • Facility Name: MUNSTER SPECIALTY SURGERY CENTER, LLC
  • Facility Address: 9200 CALUMET AVE, SUITE S-100
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: 708 284-2574
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NATALIE HURTT
  • NPI Number: 1649520057
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2045811
LAB Type Ambulatory Surgery Center
Facility Name MUNSTER SPECIALTY SURGERY CENTER, LLC
Street 9200 CALUMET AVE, SUITE S-100
City MUNSTER
State IN
ZIP 46321
Phone 708 284-2574
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Ambulatory Surgery Center
Lab Director NATALIE HURTT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025